Identifying Factors Associated with Disparities in Accessing an Integrative Oncology Program

Area of Science:

• Oncology
• Integrative Medicine
• Public Health

Background:

• Integrative oncology (IO) programs offer evidence-based complementary therapies within supportive cancer care.
• This study investigated factors influencing the use of a free IO consultation service for lung cancer patients in Israel.

Purpose of the Study:

• To identify patient characteristics associated with the utilization of integrative oncology consultations among lung cancer patients.
• To understand potential disparities in accessing supportive cancer care services.

Main Methods:

• Retrospective review of electronic medical records for 832 lung cancer patients.
• Analysis of socio-demographic, personal health, cancer-related, and symptom data.

Main Results:

• Only 14.4% of eligible patients attended the IO consultation.
• Older age, male gender, primary non-Hebrew language, absence of disability, and lack of reported pain were associated with lower consultation attendance.
• Multivariate analysis confirmed these predictors of underutilization.

Conclusions:

• Age, gender, and cultural factors (primary language) may create barriers to accessing free IO consultations for lung cancer patients.
• Disparities in access highlight the need for further research to ensure equitable and inclusive integrative cancer care.
• Understanding these factors is crucial for optimizing the delivery of supportive and palliative care in oncology.